Document Detail


Consensus conference on laparoscopic appendectomy: development of guidelines.
MedLine Citation:
PMID:  21651696     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Aim  Laparoscopic appendectomy (LA) is not yet unanimously considered the gold standard treatment for appendicitis, despite the increasing use of advanced laparoscopic operations and the high incidence of the disease. Method  Due to the results of an audit which classified LA as widespread in Italy, a Consensus Conference was organized, in order to give evidence-based answers to the most debated problems regarding the operation. After researching the literature, a panel of 20 experts were selected and interviewed on hot topics; a subsequent discussion using the Delphi methodology was utilized in the course of the consensus conference and submitted to the evaluation of an audience of surgeons. Results  Checkpoint statements were formulated whenever an agreement was reached. A level of evidence was then assigned to single statements and the process revised by two external reviewers. Conclusion  Consensus development guidelines are herein reported and regard diagnostic pathway, diagnostic laparoscopy, indications, behaviour in case of innocent appendix, technical aspects, learning curve; however, some questions remain unsolved due to the lack of evidence.
Authors:
N Vettoretto; S Gobbi; A Corradi; F Belli; D Piccolo; G Pernazza; L Mannino;
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland     Volume:  13     ISSN:  1463-1318     ISO Abbreviation:  -     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-6-9     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883611     Medline TA:  Colorectal Dis     Country:  -    
Other Details:
Languages:  ENG     Pagination:  748-754     Citation Subset:  -    
Copyright Information:
© 2011 The Authors. Colorectal Disease © 2011 The Association of Coloproctology of Great Britain and Ireland.
Affiliation:
Laparoscopic Surgery Unit, M. Mellini Hospital, Chiari Department of General Surgery, Giovanni Paolo II Hospital, Olbia Department of General Surgery, Bolzano Hospital, Bolzano Department of General and Hepatobiliopancreatic Surgery, Galliera Hospital, Genova Department of General Surgery, Castel San Giovanni Hospital, Rome Department of General Surgery II, San Giovanni-Addolorata Hospital, Rome Department of Emergency Surgery, Civico Hospital, Palermo, Italy.
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